HomeMy WebLinkAbout1044 Grant AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDI.TTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nuhber
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NUMBER:
ApplicatioE type description
subdivision Name
Property Use
Property Zoning
Application valuatsion -
19 - ooo0o?18 Date 5/L7/19
803330
1044 GRAN" AVE
05 - 30 - 14 -5 - 5 - 0212 - 0000 -
ELECTRTCAL ONI.Y
Application desc
serwice change
ConEractor
BREITBACH KENNETH W
1044 GRANT ST
PORT ANGELES
SIMPSON ELECTRlC
243 03 6 W HWY 101
PORT ANGELES
(3 60) 457-9210
wA 9A3622 727 wa 98353
Permit
Additional desc
Permit Eee
Issue Date
Expiration Date
120.00
s/17/t9
Lt/1-3/19
ELECTRICA! ALTER RESIDENIIAL
\2A
120
00
00
00
120
12a
oo
00
00
00
00
00
00
0
Extension
120 .00
Paid Creditsed Due
00
00
00
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:Cdl
PERMTT WILLEXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature ofou,ner or Electrical Contractor X Date:
Qty Unit Charge Per
1.OO 12O.OOOO ECH EL-O-2OO SRV EEEDER
charged
Plan Check Fee :
VafuaEion .
Permit Fee Totsa1
Plan check Totsa1
Grand Totaf
1 - 2 SINGLE-FAIVILY
ELECTRICAL PERM IT APPLICATION
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Proje ct Address: 1044 Grant Ave Port Angeles,WA
Project Descript ;on. Update 200 Amp Service
6 Single-Family Residential E Duplex / ARU Building Square footage
Name. Ken Breitbach Email
Mailing 4661sss. 1 044 Grant Ave Phone
112ms. Simpson Electric LLC License. SIMPSEL9T3RQ
Mailing Address: P.O. Box 1086 Port Angeles, WA 98362 Exp ira1isn g4p- 12111l19
66ui1 dlsimpson5l @gmail.com phone. 360-457-9270
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 O0O Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601- 1000 Amp.
Ponal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy 5KVA System or less
Thermosrat (Note $5 for each additional)
5115119 Andrew P Simpson
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
fglal (Quantity x Unit Charge)
$120.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration ln compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The City of PortAngeles l\4unicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
4EA//.- p Sr-r,fro*
Print Name Signature (E Owner p Electrical Contractor /Administrator)
S,VNERlNFORMATIOAI
I?.ROJECT EETElm
Ouantity
1
q
Date
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
Trent Peppard
From:
Sent:
To:
Subject:
Debbie Simpson < dlsimpson5l@gmail.com >
Tuesday, May 21, 2019 8:5L AM
Trent Peppard
Re: Permit
***EXTnRIYAT. EMAIL***
Trent this permit for 1044 Grant Ave needs to be cancelled. The Breitbach family gave the credit to the buyer
for the money lor the service change. The new owner isn't ready to do anything @ this time.
Not sure how you do a credit with your new payment program.$120.00
Thank you,
Deborah L Simpson
360-457-9270
OnFri.May 17,2019 at l0:l I AM Trent Peppard <Tpeppard@ciryofua.up wrote:
NOTICE: This email and any aftachments may be subject to disclosure as a public record under the Public
Records Act, RCW Chapter 42.56
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